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FULL CIRCLE PHYSICAL THERAPY 310 Old Country road, suite 104, Garden City, NY 11530 PHONE: (516) 7417000 FAX: (516) 7414002 MEDICARE PATIENT INFORMATION LAST NAME FIRST NAME ADDRESS MIDDLE INITIAL

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What is bi-county physical formrapy amp?

Bi-county physical formrapy amp is a form required to be filed by healthcare providers in certain bi-county areas to report certain physical therapy services.

Who is required to file bi-county physical formrapy amp?

Healthcare providers in specified bi-county areas are required to file the bi-county physical formrapy amp.

How to fill out bi-county physical formrapy amp?

To fill out the bi-county physical formrapy amp, healthcare providers must provide specific information regarding physical therapy services rendered.

What is the purpose of bi-county physical formrapy amp?

The purpose of the bi-county physical formrapy amp is to track and report physical therapy services provided in certain bi-county areas.

What information must be reported on bi-county physical formrapy amp?

The bi-county physical formrapy amp requires healthcare providers to report details such as patient information, services provided, dates of service, and billing details.

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